Individual
CIENA PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
368 S MALL DR UNIT A306, ST GEORGE, UT 84790-4528
(951) 901-9009
Mailing address
368 S MALL DR UNIT A306, ST GEORGE, UT 84790-4528
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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